Immediate tricuspid valve replacement for endocarditis. Indications and results
Tricuspid valve excision for tricuspid endocarditis in addicts is recommended to avoid early reinfection, continued sepsis, and late reinfection because of the resumption of intravenous drug abuse. Valvectomy is allegedly well tolerated hemodynamically by some, but it leads to heart failure in at le...
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| Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 1986-02, Vol.91 (2), p.163-167 |
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| container_end_page | 167 |
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| container_issue | 2 |
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| container_title | The Journal of thoracic and cardiovascular surgery |
| container_volume | 91 |
| creator | Stern, HJ Sisto, DA Strom, JA Soeiro, R Jones, SR Frater, RW |
| description | Tricuspid valve excision for tricuspid endocarditis in addicts is recommended to avoid early reinfection, continued sepsis, and late reinfection because of the resumption of intravenous drug abuse. Valvectomy is allegedly well tolerated hemodynamically by some, but it leads to heart failure in at least a third of patients. In our experience in 10 addicts with staphylococcal endocarditis who had failed to respond to antibiotic therapy, tricuspid valve replacement allowed all 10 to leave the hospital free of infection and free of heart failure. Resumption of drug addiction in three led to septic death, but not necessarily to tricuspid reinfection. Two returned to jobs requiring a high level of physical labor and tolerated this without difficulty. We find no need to follow the practice of tricuspid valve excision for tricuspid endocarditis in addicts. Those who refrain from drug abuse are well served by valve replacement. Those who do not are doomed with or without a tricuspid valve. |
| doi_str_mv | 10.1016/s0022-5223(19)36074-x |
| format | Article |
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Resumption of drug addiction in three led to septic death, but not necessarily to tricuspid reinfection. Two returned to jobs requiring a high level of physical labor and tolerated this without difficulty. We find no need to follow the practice of tricuspid valve excision for tricuspid endocarditis in addicts. Those who refrain from drug abuse are well served by valve replacement. Those who do not are doomed with or without a tricuspid valve.</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/s0022-5223(19)36074-x</identifier><identifier>PMID: 3945082</identifier><identifier>CODEN: JTCSAQ</identifier><language>eng</language><publisher>Philadelphia, PA: AATS/WTSA</publisher><subject>Acute Disease ; Adult ; Bacterial diseases ; Bacterial endocarditis, myocarditis and pericarditis. 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Indications and results</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>Tricuspid valve excision for tricuspid endocarditis in addicts is recommended to avoid early reinfection, continued sepsis, and late reinfection because of the resumption of intravenous drug abuse. Valvectomy is allegedly well tolerated hemodynamically by some, but it leads to heart failure in at least a third of patients. In our experience in 10 addicts with staphylococcal endocarditis who had failed to respond to antibiotic therapy, tricuspid valve replacement allowed all 10 to leave the hospital free of infection and free of heart failure. Resumption of drug addiction in three led to septic death, but not necessarily to tricuspid reinfection. Two returned to jobs requiring a high level of physical labor and tolerated this without difficulty. We find no need to follow the practice of tricuspid valve excision for tricuspid endocarditis in addicts. Those who refrain from drug abuse are well served by valve replacement. Those who do not are doomed with or without a tricuspid valve.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Bacterial diseases</subject><subject>Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels</subject><subject>Biological and medical sciences</subject><subject>Bioprosthesis</subject><subject>Endocarditis, Bacterial - etiology</subject><subject>Endocarditis, Bacterial - surgery</subject><subject>Follow-Up Studies</subject><subject>Heart Valve Prosthesis</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Staphylococcal Infections - etiology</subject><subject>Staphylococcal Infections - surgery</subject><subject>Substance-Related Disorders - complications</subject><subject>Tricuspid Valve - surgery</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1986</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9j01LAzEYhIMotVZ_QmEPInrY-ibZ7CZHKX4UCr0oeFuy-bApu9slSWv99wZaepqBeRhmEJpimGHA5XMAICRnhNBHLJ5oCVWRHy7QGIOo8pKz70s0PiPX6CaEDQBUgMUIjagoGHAyRqtF1xntZDRZ9E7twuB0tpft3mTeDK1UpjN9zOzWZ6bXWyW9dtGFWbbotVMyum0fMtnrRIddG8MturKyDebupBP09fb6Of_Il6v3xfxlma9JWcZcpZUAhgnGCs0ZMN5QYWkhjGkwl8RykyyzGDfWYq2kKorKMmKZEFooQSdoeuwddk06UA_eddL_1adjKb8_5TIo2Vove-XCGeOsgqJkCXs4Ymv3s_513tShk22bSnG9iSoIXJMal5T-A-z9bFQ</recordid><startdate>19860201</startdate><enddate>19860201</enddate><creator>Stern, HJ</creator><creator>Sisto, DA</creator><creator>Strom, JA</creator><creator>Soeiro, R</creator><creator>Jones, SR</creator><creator>Frater, RW</creator><general>AATS/WTSA</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>19860201</creationdate><title>Immediate tricuspid valve replacement for endocarditis. 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Bacterial diseases of the aorta, limb vessels and lymphatic vessels</topic><topic>Biological and medical sciences</topic><topic>Bioprosthesis</topic><topic>Endocarditis, Bacterial - etiology</topic><topic>Endocarditis, Bacterial - surgery</topic><topic>Follow-Up Studies</topic><topic>Heart Valve Prosthesis</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Staphylococcal Infections - etiology</topic><topic>Staphylococcal Infections - surgery</topic><topic>Substance-Related Disorders - complications</topic><topic>Tricuspid Valve - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stern, HJ</creatorcontrib><creatorcontrib>Sisto, DA</creatorcontrib><creatorcontrib>Strom, JA</creatorcontrib><creatorcontrib>Soeiro, R</creatorcontrib><creatorcontrib>Jones, SR</creatorcontrib><creatorcontrib>Frater, RW</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stern, HJ</au><au>Sisto, DA</au><au>Strom, JA</au><au>Soeiro, R</au><au>Jones, SR</au><au>Frater, RW</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immediate tricuspid valve replacement for endocarditis. Indications and results</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>1986-02-01</date><risdate>1986</risdate><volume>91</volume><issue>2</issue><spage>163</spage><epage>167</epage><pages>163-167</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><coden>JTCSAQ</coden><abstract>Tricuspid valve excision for tricuspid endocarditis in addicts is recommended to avoid early reinfection, continued sepsis, and late reinfection because of the resumption of intravenous drug abuse. Valvectomy is allegedly well tolerated hemodynamically by some, but it leads to heart failure in at least a third of patients. In our experience in 10 addicts with staphylococcal endocarditis who had failed to respond to antibiotic therapy, tricuspid valve replacement allowed all 10 to leave the hospital free of infection and free of heart failure. Resumption of drug addiction in three led to septic death, but not necessarily to tricuspid reinfection. Two returned to jobs requiring a high level of physical labor and tolerated this without difficulty. We find no need to follow the practice of tricuspid valve excision for tricuspid endocarditis in addicts. Those who refrain from drug abuse are well served by valve replacement. Those who do not are doomed with or without a tricuspid valve.</abstract><cop>Philadelphia, PA</cop><pub>AATS/WTSA</pub><pmid>3945082</pmid><doi>10.1016/s0022-5223(19)36074-x</doi><tpages>5</tpages></addata></record> |
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| ispartof | The Journal of thoracic and cardiovascular surgery, 1986-02, Vol.91 (2), p.163-167 |
| issn | 0022-5223 1097-685X |
| language | eng |
| recordid | cdi_pubmed_primary_3945082 |
| source | MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Acute Disease Adult Bacterial diseases Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels Biological and medical sciences Bioprosthesis Endocarditis, Bacterial - etiology Endocarditis, Bacterial - surgery Follow-Up Studies Heart Valve Prosthesis Human bacterial diseases Humans Infectious diseases Medical sciences Staphylococcal Infections - etiology Staphylococcal Infections - surgery Substance-Related Disorders - complications Tricuspid Valve - surgery |
| title | Immediate tricuspid valve replacement for endocarditis. Indications and results |
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